Organization
GRACE PHYSICAL THERAPY, LLC
Active
Organization
GRACE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL FRANCIS BRUNO P. T. (OWNER/DIRECTOR)
(540) 899-6863
Entity
Organization
Contact information
Practice address
2201 CHARLES ST, SUITE 105, FREDERICKSBURG, VA 22401-3378
(540) 899-6863
(540) 899-6865
Mailing address
2201 CHARLES ST, SUITE 105, FREDERICKSBURG, VA 22401-3378
(540) 899-6863
(540) 899-6865
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305004860
VA
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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